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56
and partly that they require more expert manipulation, than the
parents can be trusted to undertake.) These have usually been :–
1. Expansion Screws.
2. Retraction Wires.
3. Springs to move individual teeth.
4. Screws or Hickory pegs to move individual teeth.
5. Inclined planes.
6. Splint plates.
7. Labial Wires.
8. Retention plates.
9. Lip Exercisers.
10. Oral Screens.
11. Bite raising plates.
In addition to the above, breathing exercises had to be
explained.
A certain number of cases were directed to be sent back to
the Consultant in 6, 12, 18, 24 months after first being seen to
enable a revision of the treatment to be considered, and such
further directions as may then be found requisite.
Cost of the Scheme.
So far as this Clinic is concerned, the Scheme has not cost
the Authority anything for the 143 cases to the end of 1930. It
cost £178, which includes Mechanic's fees, cost of workroom tools,
Royal Dental Hospital fees, plus miscellaneous items. The sums
received totalled £208. Allowing for appliances not then made;
the balance of £30 will cover their cost. It can be taken for granted
that in the expenditure on appliances nothing has been stinted,
although all wasteful expenditure has been.guarded against
Before beginning a description of the cases met with in the
Clinic work, it is well to appreciate the situation as seen by the
Clinic Dental Surgeon.
It had to be borne in mmd in the negotiations with the Royal
Dental Hospital—Dr. Nash laid it down as an essential condition—
that cases were not to be considered from the Harley Street point
of view, where time and fees did not matter, but the definite aim
in the Clinic work was to repair the oral defects and "sports of
nature," and make the mouth fit for its proper functions of mastication
and speech, and incidentally in some cases to improve
appearance. This is compuisorily forced upon us through the all